| NPI | 1275089500 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAVID BARCLAY DOWLING Managing Physician 8003-997-6247 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 058394-1) | 
| Enumeration Date | 2016-08-28 | 
| Last Update Date | 2016-08-29 |